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Organization
NEW FOUNDATION CENTER, INC,
Active
Organization
NEW FOUNDATION CENTER, INC,
Active
Other names
WilPower, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M SHIMON (EXECUTIVE DIRECTOR)
(847) 501-2839
Entity
Organization
Contact information
Practice address
444 W FRONTAGE RD, NORTHFIELD, IL 60093-3009
(847) 501-2939
(847) 501-4803
Mailing address
444 W FRONTAGE RD, NORTHFIELD, IL 60093-3009
(847) 501-2939
(847) 501-4803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632232
BCBS
IL
Enumeration date
12/19/2006
Last updated
09/20/2012
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